HomeMy WebLinkAboutBLD2023-00256 Cancelled SFR - BLD Application - 9/2/2023 MASON COUNTY COMMUNITY SERVICES Permit No: ZDZ3 00251p
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL / c
615 W.Alder Street,Shelton,WA 98584 L A 2 l 2 V G�•
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone40)
Belfair.(360)2754467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION .
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Lennar Northwest,Inc NAME: Lennar Northwest,Inc
MAILING ADDRESS: 33455 6th ave S, it 1-B MAILING ADDRESS: 33455 6th ave S,Unit 1-B
CITY: Federal Way STATE: WA ZIP: 98003 CITY:Federal Way STATE: WA ZIP: 98003
PHONE#1: (253)294-1322 PHONE:(253)294-1322 CELL: (253)294-1322
PHONE#2: EMAIL: Sam.Martin(@,,Lennar.COm
EMAIL: Sam.Martin(&,,Lennar.com L&I REG# LENNANT893 G EXP. 11/07/23
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OT •R
NAME Sam Martin,Agent for Lennar EMAIL Sam.Martirn@Len .corn
MAILING ADDRESS 33455 6th ave S,Unit 1-B CITY Fe eral Way TE WA Zip 98003
PHONE (253)294-1322 CELL (253)294-1322
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)G A ER A 14 6. YES❑ NO R SNOW LOAD: LOOpsf
IS PROPERTY WITHIN 200 FT OF THE FOLLO IN : (Check !l th ly):
SALTWATER❑ LAKE❑ RIVER/CREE D❑ WETL D❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW R ADDNOZNY ALTERA ❑ REPAIR❑ OTHER
USE OF STRUCTURE(Residence,Garage,Comm 'al B g,Fic.)Establishin ew stock plan for Olympic Ride Plan 2120 Elevation MF GL
IS USE: PRIMARY SEASONAL❑ MBE O OOMS 4 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole YES(Par !g1® NO❑
DESCRIBE WORK New in le F it esi nce heattd ara a unheated
SOU RE FOOTA E:(P po d)
I ST FLOOR 899 sq. . 2ND R 1223 q.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. C ERED D CK 50 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 391 sq.ft. Att ed Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED ,F9R *4 COPIES OF THE FLOOR PLAN REQUIRED*
71DTH::
MODEL LENGTH
BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER® / NEW R EXISTING❑
PLUMBING IN STRUCTURE? YES R NO❑ ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES R t NO❑ EXISTING SQ.FT._1340 _
EXISTING BEDROOMS d PROPOSED BEDROOMS " TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or 9 construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X sa,"& 12/5/2021
Signature of OWNER(Must be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH